Internal abdominal hernia treated by urgent laparoscopy

What is it about?

Iternal supravesical hernia (ISH) is an exceptional subtype of internal hernia often presenting with small bowel obstruction (SBO). Its rarity makes preoperative suspicion and diagnosis very difficult in an emergency setting. We reported our experience on two cases in which totally laparoscopic treatment was successfully performed in patients with stable hemodynamic parameters thanks to early diagnosis and limited intestinal distension.

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Why is it important?

Urgent laparotomic repair of obstructive ISH is the standard treatment although laparoscopic approach has also been described in a small number of cases. These cases show that laparoscopy is feasible and often decisive, especially in cases of intestinal obstructions due to unclear causes

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